{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T19:35:09Z","timestamp":1790537709912,"version":"4.1.0"},"reference-count":15,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,9,20]]},"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The early postattempt period is considered to be one of the most at-risk time windows for suicide reattempt or completion. Among the postcrisis prevention programmes developed to compensate for this risk, brief contact interventions (BCIs) have been proven to be efficient but not equally for each subpopulation of attempters. VigilanS is a region-wide programme that relies on an algorithmic system to tailor surveillance and BCI provisions to individuals discharged from the hospital after a suicide attempt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>VigilanS\u2019 main objective is to reduce suicide and suicide reattempt rates both at the individual level (patients included in VigilanS) and at the populational level (inhabitants of the Nord\u2013Pas-de-Calais region).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>\n                      At discharge, every attempter coming from a participating centre is given a crisis card with an emergency number to contact in case of distress. Patients are then systematically recontacted 6 months later. An additional 10-day call is also given if the index suicide attempt is not the first one. Depending on the clinical evaluation during the phone call, the\n                      <jats:italic>call team<\/jats:italic>\n                      may carry out proportionated crisis interventions. Personalised postcards are sent whenever patients are unreachable by phone or in distress. On the populational level, mean suicide and suicide attempt rates in Nord\u2013Pas-de-Calais will be compared before and after the implementation of the programme. Here\/there cross-sectional comparisons with a control region will test the spatial specificity of the observed fluctuations, while time-series analyses will be performed to corroborate the temporal plausibility of imputing these fluctuations to the implementation of the programme. On the individual level, patients entered in VigilanS will be prospectively compared with a matched control cohort by means of survival analyses (survival curve comparisons and Cox models).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>VigilanS interventional components fall under the ordinary law care regime, and the individuals\u2019 general rights as patients apply with no addendums or restrictions for their participation in the programme. The research section received authorisation from the Ethical Committee of Lille Nord-Ouest under the caption \u2018Study aimed at evaluating routine care\u2019 and is registered in \u2018Clinical Trials\u2019. The French Ministry of Health plans to extend the experimentation to other regions and probe the relevance of this type of \u2018bottom\u2013up\u2019 territorial prevention policy at the national level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"NCT03134885\" ext-link-type=\"clintrialgov\">NCT03134885<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-022762","type":"journal-article","created":{"date-parts":[[2018,10,24]],"date-time":"2018-10-24T02:41:32Z","timestamp":1540348892000},"page":"e022762","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":36,"title":["Combining brief contact interventions (BCI) into a decision-making algorithm to reduce suicide reattempt: the VigilanS study protocol"],"prefix":"10.1136","volume":"8","clinical-trial-number":[{"clinical-trial-number":"nct03134885","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"St\u00e9phane","family":"Duhem","sequence":"first","affiliation":[{"name":"Univ. Lille, Inserm, CHU Lille, CIC1403 \u2013Clinical Investigation Center, Lille, France"},{"name":"Department of Psychiatry and Forensic Medicine, CHU Lille, Lille, France"},{"name":"F2RSM, Regional Federation for Research on Mental Health and Psychiatry, Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofian","family":"Berrouiguet","sequence":"additional","affiliation":[{"name":"CHU Brest, Department of Psychiatry, University of Bretagne Occidentale, BP 814, Cedex, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Debien","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Forensic Medicine, CHU Lille, Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0664-761X","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"Ducrocq","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Forensic Medicine, CHU Lille, Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Laure","family":"Demarty","sequence":"additional","affiliation":[{"name":"Univ. Lille, Inserm, CHU Lille, CIC1403 \u2013Clinical Investigation Center, Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Messiah","sequence":"additional","affiliation":[{"name":"Inserm Research Unit U-1178 \u201cMental Health and Public Health\u201d, Villejuif, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Courtet","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Medical Psychology, CHU Montpellier, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Jehel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, CHU Martinique, Fort de France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Thomas","sequence":"additional","affiliation":[{"name":"Univ. Lille, Inserm, CHU Lille, CIC1403 \u2013Clinical Investigation Center, Lille, France"},{"name":"F2RSM, Regional Federation for Research on Mental Health and Psychiatry, Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Deplanque","sequence":"additional","affiliation":[{"name":"Univ. 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